| NPI | 1164814596 |
|---|---|
| Other Name | FIRST COAST ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ANDREW L SKIGEN Surgeon 904-565-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: FL DN14048) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-09-03 |